| Laboratorio Periferovascular Csa, Inc. | |
|
622 Ave San Luis Carr. 129 Arecibo PR 00612-0575 | |
| (787) 879-4632 | |
| (787) 881-5762 |
| Full Name | Laboratorio Periferovascular Csa, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 622 Ave San Luis Carr. 129, Arecibo, Puerto Rico |
| Authorized Official Name and Position | Lillibeth Castro (ADMINISTRATOR) |
| Authorized Official Contact | 7878794632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laboratorio Periferovascular Csa, Inc. Po Box 575 Arecibo PR 00613-0575 Ph: (787) 879-4632 | Laboratorio Periferovascular Csa, Inc. 622 Ave San Luis Carr. 129 Arecibo PR 00612-0575 Ph: (787) 879-4632 |
| NPI Number | 1457788226 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457788226 | NPI | - | NPPES |
| 6407 | Other | PR | INTERVENTIONAL CARDIOLOGY |
| 207R10011X | Other | PR | INTERNAL MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 207R10011X (Puerto Rico) | Primary |
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